Prescribing in ADC and oral surgery Flashcards
(82 cards)
1
Q
What does ADC stand for
A
Acute dental care
2
Q
How should you write a prescription
A
Legibly in ink stating the :
- Date
- Name
- Address of patient and the practice
- Age and DOB preferable
- Name of drug clearly using approved title only
3
Q
When is It a legal requirement to write the age and DOB of a patient on a prescription
A
When the medication is for a patient under 12
4
Q
What information about the drug should you write on the prescription
A
- Dose
- Frequency
- Quantity to be supplied
- Minimum dose interval
- Max amount per day
5
Q
What does nocte stand for on a prescription
A
At night
6
Q
What does mane stand for on a prescription
A
Morning
7
Q
What does bid/bd stand for on a prescription
A
Twice a day
8
Q
What does tid/tds stand for on a prescription
A
Thrice a day
9
Q
What does pm stand for on a prescription
A
As needed/ required
10
Q
Give some examples of bacterial infections in dentistry
A
- Dental abscess
11
Q
What is the first treatment we carry out for a dental abscess
A
Drainage of the tooth or extraction
Can try and attempt to drain soft tissues by incision
12
Q
When are antibiotics appropriate to use for a dental abscess
A
When there is evidence of systemic or spreading infection such as cellulitis, lymphadenopathy, swelling etc
13
Q
Which antibiotic do we prescribe for bacterial infections
A
- Phenoxymethylpenicillin 500mg
2. Amoxicillin capsules 500mg
14
Q
How many Phenoxymethylpenicillin tablets do we give to a patient and what instructions do we give with that
A
40 tabs
2 tabs 4 times a dat
15
Q
How much Phenoxymethylpenicillin can we give to a 6month-1 year old
A
62.5mg QDS
16
Q
How much Phenoxymethylpenicillin can we give to a 1-5 yr old
A
125mg qds
17
Q
How much Phenoxymethylpenicillin can we give a 5-11 yr old
A
250mg QDS
18
Q
How many Amoxicillin capsules do we give to a patient and what instructions do we give with that
A
15 capsules
1 capsule 3 times a day for 5 days
19
Q
How much Amoxicillin can we give to a 6month-1 year old
A
125mg TDS 5 days
20
Q
How much Amoxicillin can we give to a 1-4 yr old
A
250mg tds
21
Q
How much Amoxicillin can we give a 5-17 yr old
A
500mg TDS
22
Q
What can we give to a patient with bacterial infection who has a penicillin allergy
A
Metronidazole tablets 400mg
23
Q
How many Metronidazole tablets do we give to a patient and what instructions do we give with that
A
15 TABS
1 tablet 3 time a day for 5 days
24
Q
How much Metronidazole can we give a 1-3 yr old
A
50mg tds for 5 days
25
How much Metronidazole can we give a 3-6 yr old
100mg bd for 5 days
26
How much Metronidazole can we give a 7-9 yr old
100mg tds for 5 days
27
How much Metronidazole can we give a 10-17 yr old
200mg tds for 5 days
28
List the second line antibiotics for dental abscess
1. Clindamycin capsules 150mg
2. Co amoxiclav 250-125mg
3. Clarithromycin tablets 250mg
29
How many Clindamycin capsules do we give to a patient and what instructions do we give with that
send 20 capsules
| 1 capsule 4 times a day for 5 days
30
How many Co amoxiclav tablets do we give to a patient and what instructions do we give with that
15 tablets
| 1 tablets 3 times a day for 5 days
31
How many Clarithromycin tablets do we give to a patient and what instructions do we give with that
14 tablets
| 2 tablet a day for 7 days
32
What does ANUG stand for
Acute necrotising ulcerative gingivitis
33
What is the first course of treatment for ANUG
Scaling and OHI
34
When can antibiotics be prescribed for ANUG
If there is systemic involvement in pericoronitis
35
Which antibiotics would we use to treat systemic involvement in ANUG
1. Metronidazole tablets 400mg
| 2. Amoxicillin capsules 500mg
36
How many Amoxicillin capsules do we give to a patient WITH ANUG and what instructions do we give with that
9 caps for ANUG
| 1 capsule three times day for 3 days
37
How many Metronidazole tablets do we give to a patient WITH ANUG and what instructions do we give with that
9 tablets for ANUG
| 1 tab three times day for 3 days
38
How many Amoxicillin capsules do we give to a patient WITH PERICORONITIS and what instructions do we give with that
15 caps for pericoronitis
| 1 capsule three times day for 5 days
39
How many Metronidazole tablets do we give to a patient WITH PERICORONITIS and what instructions do we give with that
15 tablets for pericoronitis
| 1 tab three times day for 5 days
40
What is the first treatment for sinusitis
Local measures such as steam or methanol inflation (not suitable for children
41
What can we prescribe to patients with sinusitis
1. Ephedrine nasal drops 0.5%
2, Phenoxymethypenicillin 500mg
3. Doxycycline capsules, 100mg
42
How much Ephedrine nasal drops do we give a patient and what instructions for give with that
10ml
| 1 drop into each nostril up to 3 times a day
43
How many Phenoxymethypenicillin 500mg capsules do we give to a patient and what instructions do we give with that
40 capsules
| 2 capsules 4 times a day for 5 days
44
How many Doxycycline 500mg capsules do we give to a patient and what instructions do we give with that
8 capsules
| 2 first day then 1 daily
45
How do we usually treat dry sockey
Rinse the socket with a moneject syringe with warmed saline
| Advise the patient to carry on with this and return if they have any problems
46
Are dry sockets always treated with antibiotics
No only indicated if there is soft tissue infection and evidence of systemic spread such as lymphadenopathy
47
When should fungal infections be referred and why
Chronic hyperplastic candidosis should be referred as it is potentially premalignant
48
What is the first line of treatment for fungal infections
Local measures used in the first instance
| Advise patients who use a corticosteroid inhaler to rinse out their mouth and brush teeth after using
49
Give examples of fungal infections that may require antibiotics
1. Pseudomembranous / Erythematous Candidosis
| 2. Angular Cheilitis
50
What can we prescribe to patients with Pseudomembranous / Erythematous Candidosis
1, Fluconazole capsules, 50mg
| 2. Miconazole oromucosal gel, 24mmg/ml
51
How many Fluconazole 50mg capsules do we give to a patient with Pseudomembranous / Erythematous Candidosis and what instructions do we give with that
7 capsules
| Take 1 daily for 7 days
52
How much Miconazole oromucosal gel 24mmg/ml do we give to a patient with Pseudomembranous / Erythematous Candidosis and what instructions do we give with that
18g tube
| Apply pea sized amount 4 times a day after food
53
What can Fluconazole and miconazole no the used. with
Warfarin and statins
54
What can we prescribe is Fluconazole and miconazole are contra indicated
Nystatin oral suspension, 100,000 unit/ml
55
How much Nystatin oral suspension, 100,000 unit/ml do we give to patients and what instructions do we give them
30m/s
| 1ml after food 4 times a day for 7 days
56
List some antibiotics we can prescribe for Angular Cheilitis
1. Miconazole cream, 2%
2. Sodium Fusidate ointment, 2%
3. Miconazole(2%) and Hydrocortisone(1%) cream or ointment
57
How much Miconazole cream do we give to patients and what instructions do we give with it
20g tube
| Apple to angles of mouth twice a day Advise patient to use 10 days after lesions have healed.
58
How much Sodium Fusidate ointment do we give to patients and what instructions do we give with it
15g tube
| Apply to angles of mouth four times daily (no more than 10 days)
59
What reginme can we give to patients with unresponsive Angular Cheilitis
Miconazole(2%) and Hydrocortisone(1%) cream or ointment
60
How much Miconazole(2%) and Hydrocortisone(1%) cream or ointment do we give to patients and what instructions do we give with it
30g tube
Apply to angles of mouth twice a day
Do not use more than 7 days)
61
What do we advise patients with herpes simplex infection
```
Local measured to be used eg
Avoidance of dehydration
Soft diet
Adequare analgesia
Antibactieral mouthwash
```
62
Which antibiotics can we prescribe to patients with herpes simplex infection
Chlorhexidine mouthwash, 0.2%
| Hydrogen Peroxide mouthwash, 6%
63
What is herpes labialise
Cold sores
64
What can we prescribe to patients with Herpes Labialis
Aciclovir cream, 5%
65
What would prescribe a patient with mild to moderate odontogenic pain
Paracetamol tablets
| Ibuprofen tabslets
66
What would you prescribe a patient with moderate inflammatory or post operative pain
Diclofenac Sodium tablets, 50mg
15 tablets
take 1 3 times a day
67
What would you prescribe a patient with mild to moderate inflammatory pain
Aspirin dispersible tablets 300mg
68
If a patient has a history of stomach problems what would you prescribe along side NSAID
1. Lanzoprazole capsules, 15mg
| 2. Lanzoprazole capsules, 15mg
69
What would you do if you diagnosed a patient with trigeminal neuralgia
Control quickly and make an urgent referral to GMP for FBC and liver function tests
70
What do we prescribe patients with trigeminal neuralgia
Carbamazepine tablets,100mg
71
How much Carbamazepine tablets,100mg do we give patients and what instructions do we give
20 tablets
| 1 tablet per day
72
Name the premedication we give to patients prior to oral sedation
Diazepam tablets, 5mg-10mg depending on patient’s anxiety and weight
73
Who should we not give
| Diazepam tablets
Do not use in patients who are hypersensitive to benzodiazepines, pregnancy, caution in
renal Impairment.
Advise patient to be accompanied and not to drive.
74
Who should we avoid giving penicillin
Avoid in patients with
| a history of anaphylaxis, urticaria or rash immediately after administration.
75
What should patients taking Metronidazole avoid
Alcohol
76
What can Erythromycin cause
Nausea
Vomitng
Diarrhoea
77
What should we avoid giving patients taking Erythromycin
Avoid warfarin and statin
78
Who should we avoid giving Clindamycin
1. avoid in persons with diarrhoea state
2. Pregnancy
3. Nursing mothers
4. Liver or kidney impairment
5. Patients taking warfarin and statins
79
What can Doxycycline cause
```
nausea
Vomiting
diarrhoea,
dysphagia,
photo sensitivity
```
80
Who should avoid giving Fluconazole and miconazole
Avoid in patients on warfarin and statin
81
Who should we avoid giving ibuprofen
```
Avoid in
1. patients with allergy to NSAIDs and aspirin
2. Asthmatics
3. patients on low dose aspirin,
4. previous or
active peptic
5. ulceration.
```
82
Who should we be cautious giving Lanzoprazole and Omeprazole
Caution in liver disease, pregnancy and birding mothers
